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From a leading clinician-researcher, this book presents an empirically tested approach for helping clients with severe and chronic depression by directly tackling negative rumination. Rumination-focused cognitive-behavioral therapy (RFCBT) combines carefully adapted elements of CBT with imagery, visualization, and compassion-based techniques. The book provides everything needed to implement this 12-session approach, including numerous sample dialogues, a chapter-length case example, reflections and learning exercises for therapists, and 10 reproducible client handouts. Purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size.

"Written by an internationally recognized expert, this book provides a highly accessible and engaging review of the phenomenology, etiology, assessment, and treatment of rumination. Practical, evidence-based treatment strategies are supplemented with rich clinical transcripts that illustrate the moment-by-moment intricacies of intervention. The techniques in this manual empower patients to go beyond the content of their thoughts to address the process and form of rumination. Clinicians at every level of expertise will benefit from this excellent volume."--David J. A. Dozois, PhD, Professor and Director, Clinical Psychology Graduate Program, University of Western Ontario, Canada

Edward R. Watkins, PhD, CPsychol, is Professor of Experimental and Applied Clinical Psychology at the University of Exeter, United Kingdom, and Director of the Mood Disorders Centre and the Study of Maladaptive to Adaptive Repetitive Thought (SMART) Lab. He has practiced as a cognitive-behavioral therapist for 20 years, specializing in depression. His research focuses on the experimental understanding of psychopathology in depression--with a particular focus on repetitive negative thought and rumination--and the development and evaluation of new psychological interventions for mood disorders. Dr. Watkins is a recipient of the British Psychological Society's May Davidson Award for outstanding contributions to the development of clinical psychology within the first 10 years of his career.